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Article . 2012 . Peer-reviewed
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image/svg+xml Jakob Voss, based on art designer at PLoS, modified by Wikipedia users Nina and Beao Closed Access logo, derived from PLoS Open Access logo. This version with transparent background. http://commons.wikimedia.org/wiki/File:Closed_Access_logo_transparent.svg Jakob Voss, based on art designer at PLoS, modified by Wikipedia users Nina and Beao
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Article . 2012
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Implementation of TMA and digitalization in routine diagnostics of breast pathology

Authors: Rossing, Henrik Holm; Talman, Maj-Lis Møller; Laenkholm, Anne-Vibeke; Wielenga, Vera Timmermans;

Implementation of TMA and digitalization in routine diagnostics of breast pathology

Abstract

To ensure optimal treatment of breast cancer patients, breast tumours are classified based on clinico‐pathological features. As part of this process, routine diagnostics of breast tumours includes histological typing and grading, as well as profiling by use of an immunohistochemistry panel of antibodies, probes and in situ hybridization. This will, as a minimum, include assessment of oestrogen receptor (OR) and HER2. The individual preparation and staining of many breast tumours in a large laboratory with this standard panel is thus time consuming and costly. Herein, we show that in breast cancer routine diagnostics the use of the tissue microarray technique in combination with digitalization of the stained multi‐slides is not only economical, with a considerable cost reduction, but it also enhances standardization of tumour profiling. We demonstrate that 2 mm breast tumour cores correlate with the corresponding tumour on whole mount slides, regarding staining/hybridizing results with the biomarkers in our panel consisting of human epidermal growth factor receptor 2, OR and Topiomerase IIa. Furthermore, we show that simultaneous staining/hybridizing of multiple breast tumour specimens reduces variation of staining/hybridizing quality, hereby increasing reliability of interpretation. By scanning and digitalization of the stained and hybridized multi‐slides, we could optimize documentation and filing of the results. Our work is an example of translational research by implementing a tool in daily diagnostics originally developed for high throughput analyses in the search for prognostic and predictive markers in targeted medicine.

Keywords

Receptor, ErbB-2, Image Processing, ErbB-2/analysis, Breast Neoplasms, Fluorescence, Type II/analysis, Antigens, Neoplasm, Breast/pathology, Receptors, Computer-Assisted/methods, Image Processing, Computer-Assisted, Humans, Breast, Antigens, Tissue Array Analysis/methods, In Situ Hybridization, In Situ Hybridization, Fluorescence, Microscopy, Staining and Labeling, Breast Neoplasms/diagnosis, DNA-Binding Proteins/analysis, DNA-Binding Proteins, DNA Topoisomerases, Type II, Receptors, Estrogen, Estrogen/analysis, Tissue Array Analysis, Female, Neoplasm/analysis, DNA Topoisomerases, Microscopy/methods, Staining and Labeling/methods, Receptor

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
17
Top 10%
Top 10%
Top 10%
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